The sequestered zizindikiro herniation, mankhwala ndi kapewedwe

Matenda a msana ndi choopsa kwambiri. Ndipotu, zikukhudza nyumba yofunika - chingwe msana. Mmodzi wa pathologies izi sequestered herniation. Matendawa ali ndi kungasokoneze thupi lonse ndi zingachititse kuti chiwerengero cha mavuto aakulu.

Zochita za matenda

Kodi sequestered herniated chimbale? kudwala ichi, imene phata pulposus (odzola ngati zili) kudzera chotupa kapena mng'alu mu chimbale chipolopolo ndi extruded ndipo kwathunthu ku izo.

Chidutswa izi zikuyamba kupitiriza chomwe chili pafupi ndi misempha msana. Motero, wodwalayo ululu, kuchita dzanzi, kumva kulasalasa m'dera kumene wotsinidwa mitsempha. Nthawi zina anapambulwa litayamba chidutswa akhoza kulowa mu danga epidural. Zikatero, pali chabe mumamva kupweteka. Iwo akhoza anamva osati kumbuyo, komanso nthambi.

A chikhalidwe kwambiri yodziwika ndi chitukuko cha matenda Kauda equina. Ndi nthenda yotaya ichi cha matenda, wodwalayo angasiye ulamuliro pa ndondomeko ya defecation ndi pokodza. Komanso, pali dzanzi mu miyendo ndipo groin m'deralo. Izi mawonekedwe a matenda kumasonyeza kuti opaleshoni mwamsanga. Apo ayi, mwina mpaka kalekale kuwononga minofu mantha.

Olekanitsidwa mpukutu zina, mwina awonongeke, ndiyeno odzipereka mu m'magazi.

magwero kudwala

Chiwonongeko cha chimbale intervertebral chifukwa cha kwambiri voteji paravertebral minofu. Izi akapsa chitukuko cha njira osachiritsika. Chifukwa cha zimenezi, annulus fibrosus chawonongeka.

The apamwamba katundu akukumana litayamba, wamkulu mosavuta osauka chophukacho izi. Pa nkhani imeneyi, nthawi zambiri anapanga sequestered herniation m'dera lumbar.

Zimene zingapangitse kuti maonekedwe a matenda ndi mphindi:

• malformations;
• otsika kupweteka kwa msana;
• kwambiri kulemera;
• akusowa mu cartilaginous zimakhala mchere;
• ntchito, ali ndi katundu kwambiri msana (a Komatsu, yomanga).

Nthawi zambiri matendawa ayamba kukhala pa maziko:

• nkhawa;
• lolemera zochotsa;
• zizoloŵezi zoipa, kukhala akuluakulu;
• hypothermia.

zizindikiro za matendawo

Sequestered herniation zina angathe pafupifupi padera. Pankhaniyi, wodwalayo nthawi pali ululu kumbuyo. Koma zochitika ngati munthu wayamba ntchito. Maphunziro amaona curtailment odwala monga kuukira wina.

Zizindikiro zimadalira kutanthauzira za chophukacho a. Choncho n'kofunika kupenda padera.

Pa chitukuko cha kudwala anasonyeza mwa zizindikiro zoterozo mu msana khomo lachiberekero:

• mwauchidakwa pafupipafupi mutu;
• nthawi khosi, mikono dzanzi limapezeka;
• ululu m'dera khosi;
• kusapeza akupitirirabe kwambiri;
• Pambuyo potsegula ululu umachuluka;
• minofu minofu pa miyendo chapamwamba pang'onopang'ono zatha;
• m'dera la mapewa, khosi, mikono, pali mavuto minofu;
• kusintha gait;
• pang'onopang'ono ayamba kukhala ziwalo za nthambi.

Ngati sequestration linabuka pakati pa vertebrae thoracic, zizindikiro izi zimachitika mu mtima:

• kupweteka kwambiri m'dera pachifuwa;
• kusapeza akhonza kupatsidwa mu masamba phewa, pamimba ndi nthiti;
• ululu n'lalikulu ngakhale pambuyo yaikulu pang'ono;
• akufotokozera ziwalo za miyendo;
• dzanzi ingayale chifuwa, mimba, kumbuyo;
• pang'onopang'ono wofooka minofu minofu, nthawizina uko uli wathunthu manja.

Kudwala lumbosacral m'dera anasonyeza mwa zizindikiro amenewa:

• m'dera lumbar pali kwambiri kuukira kuwawa;
• kusapeza ndi wachikhalire, wowala kutchulidwa;
• katundu pang'ono kumabweretsa padzakhala ululu;
• kusapeza zingaperekedwe ku nthambi m'munsi, matako;
• anataya bongo tendon;
• wotopa mwendo minofu;
• zala, mapazi zina kupita dzanzi;
• ndondomeko akhoza kukhumudwa defecation kapena pokodza;
• mu miyendo pali kufooka, kusabala;
• mu zikayamba m'munsi kumbuyo;
• Nthawi zina patsogolo ziwalo za miyendo.

matenda a matenda

Pankhani ya zizindikiro pamwamba wodwala ayenera kuonana ndi matenda okhudza ubongo. adokotala kumvetsera madandaulo a wodwalayo, adzakhala kupenda udindo wake thupi ndi ubongo. Ngati mukukayikira ndi chophukacho adzafunika kupenda.

Mwatsoka, roentgen - nthawi zambiri uninformative matenda njira. Iye sangathe molondola kusonyeza pamaso pa fractures, zophuka Bony, kuchepetsa mafupa.

Sequestered herniation msana molondola kwambiri visualized ntchito Kujambula. phunziro Zimenezi zimathandiza kudziwa udindo, kukula kwa kudwala lapansi. Komanso, Kujambula zikutisonyeza boma la minofu Mitsemphayi ndi misempha.

zochiritsira

Pofuna matenda ntchito:

• ndiwofatsa mankhwala;
• opaleshoni.

Chigamulo pa zimene kumwedwa adzakhalanso yekha ndi dokotala. Nthawi zambiri, odwala amaganiza kuti kupyolera opaleshoni akhoza kulimbana ndi matenda monga chophukacho sequestered. chithandizo ndiwofatsa akhoza kukhala palibe njira sakhala ogwira. Koma ayenera mosamalitsa kusunga paudindo onse ndi malangizo dokotala.

mankhwala

Ndi kofunika kuwakumbutsa kamodzinso mankhwalawa herniation sequestered popanda opaleshoni n'chotheka malangizo dokotala. Kuthana ndi kudwala ndekha ndi koletsedwa kutero. Ndipotu, nthawi zambiri - njira invalidity.

chithandizo ndiwofatsa kumafuna akugwira curtailment wa kutayiratu mpaka nthawi mpaka mpukutu anapatsidwa minofu si kwathunthu omertveyut. Izi kupanga chimathandiza fupa, kutseka dzenje.

Kusintha mkhalidwe wa mtima akapatsidwa mankhwala:

1. Anti-yotupa wothandizira. Mankhwalawa kupweteka, kuchepetsa kukula kwa kutupa. Wodwala akhoza analimbikitsa mankhwala: "Ibuprofen", "diclofenac", "Nimesil".
2. Diuretic mankhwala. mankhwala otere amakhala zotchulidwa mu nthawi yochepa. Iwo mwangwiro kuthetsa kutupa chikwiyire ndi psinjika za minofu. Mankhwalawa angathe monga mankhwala otere "Furosemide", "Hypothiazid".
3. Minofu relaxants. Zida kuthetsa spasms minofu. An minofu anasiya ogwira Kwalamulidwa kwa matenda kuperekedwa, mankhwala "Mydocalm".
4. Mavitamini a gulu B. Iwo akuchipatala kuonjezera zimachitika conduction. Awa ndi mankhwala zotsatirazi: "Thiamin", "Pyridoxine".
5. Chondroprotectors. Izi medicaments kupereka bwino chakudya zimakhala cartilaginous. Kwambiri kawirikawiri Kwalamulidwa mankhwala, "chondroitin sulphate".
6. Anticonvulsants. Gulu la mankhwala okhoza kuthetsa ululu neuropathic. Odwala analimbikitsa mankhwala amenewa: "carbamazepine", "Finlepsin", "Konvulsofin".
7. mankhwala ena. Kusintha trophism zimakhala, kukondoweza kwa microcirculation, mankhwala akhoza monga mankhwala "Aktovegin", "Trental".

Ngati ndi kotheka, amachita novocaine anatseka misewu.

njira zina za mankhwala ndiwofatsa

Ankachitira sequestered chophukacho popanda opareshoni osati mankhwala okha.

Wodwala akapatsidwa angapo mankhwala physiotherapy chimene chingawathandize bwino:

• diadynamic mafunde ;
• maginito mankhwala;
• anatambasula;
• ultrasound;
• d'Arsonval mafunde.

Komanso, odwala akulimbikitsidwa thupi, Kwalamulidwa moyo kutikita.

Ngati mphamvu zabwino kusintha zooneka kale pa masabata 2-3 mankhwala ndiwofatsa.

Pamene ntchito chofunika

Koma, mwatsoka, pali zochitika komwe chithandizo ndiwofatsa sangathe sequestered herniation. Opaleshoni - ndi njira yokhayo mwakale.

Kufunika kwa opaleshoni ikutuluka Zikatero:

1. Njira ya matenda amakhala ndi kuwonongeka lakuthwa. Pankhaniyi, pangakhale nthawi kusintha. Mwamsanga m'malo kuwonongeka.
2. Makulidwe sequester opondapo (pa 10 mm).
3. Pali attenuation amphamvu mu zone radicular mitsempha-minofu minofu.
4. Zonse dzanzi miyendo.
5. mankhwala ndiwofatsa ikuchitika kwa miyezi sikisi, sanali kupereka mphamvu positive.
6. Pali kupitilira kwa matenda, ngakhale kugwilizana ndi dokotala m'maudindo onse.
7. Wodwala matenda matenda autoimmune.

alowererepo opaleshoni

Monga tanenera kale, sikuti ndi zotsatirapo zabwino za mankhwala ndiwofatsa wa herniation sequestered.

opaleshoni zikhoza kuchitika mu njira zingapo:

1. Microdiskectomy. Mothandizidwa ndi microsurgery atachotsedwa sequestered herniation. Zimenezi zimathandiza munthu wodwala kuti tichepetse mavuto ndi mpukutu kuti mizu ubongo.
2. Endoscopic kuchotsa.
3. Percutaneous nucleoplasty. Pa opaleshoni kubala oipa chimbale ndi madzi ozizira ndi elekitirodi.
4. Kuchotsa chimbale prosthesis. M'malo kuonongeka fupa prosthesis wodwala kapena titaniyamu prosthesis.
5. Autologous kupatsidwa zina za chichereŵechereŵe. Zofunika minofu otengedwa wodwala ndi kuchulukitsa iwo mu m'galasi. Pambuyo 3-4 miyezi ya chichereŵechereŵe izi kuziika kwa wodwalayo.
6. Kuchotsa mbali ina ya linkawonongeka ndi, wakulimbira psinjika za chingwe msana. Izi ntchito: laminotomy, Foraminotomy.

miyeso konzanso ndi kapewedwe

Ngati sequestered herniation wakhala opareshoni, wodwala ayenera kutsatira malamulo analimbikitsa ndi dokotala.

Pa konzanso n'kofunika:

• osati zolemera adalemeradi;
• kutenga mankhwala onse zotchulidwa dokotala;
• Pewani katundu thupi yaikulu.

Pamene thupi achire pambuyo opaleshoni, wodwala ayenera chitani kupewa herniation kobwereza.

Kuti adziteteze zisadzachitikenso matenda, Ndi bwino:

• zonse physiotherapy;
• kutsatira kudya zakudya zapadera;
• pita ku thamanda kusambira (kusambira ndi zothandiza kwambiri ngati mukufuna matenda);
• mungawononge kaimidwe anu;
• nthawi kutichitira zinthu okalamba.

kugwilizana kwambiri ndi malangizo onse zachipatala adzakwanilitse kudwala ndi kutetezera mawonetseredwe mobwerezabwereza.